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Spinal cord injury (SCI) is a devastating pathology, with significant physical, psychosocial, and financial burdens. Despite the severity of this disease, and our deepening understanding of the pathophysiology, we remain limited in our treatment options. Recent well-publicized studies have focused on the benefit of early surgical decompression in this patient population, but fewer studies have focused on the medical management of these patients (Fehlings et al., 2012). In light of the recent controversy surrounding methylprednisolone administration, many believe that supraphysiologic mean arterial pressure (MAP) maintenance offers the best hope for improving outcomes through medical management.

Vasopressor administration in spinal cord injury: should we apply a universal standard to all injury patterns?